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Journal of Hand Surgery (British and European Volume)
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Articles

Vein Implantation for Treatment of Painful Cutaneous Neuromas

A preliminary report

T. J. HERBERT
S. L. FILAN

From St Luke’s Hospital Hand Unit, Sydney, Australia

Correspondence: The Secretary, St Luke’s Hospital Hand Unit, 18 Roslyn Street, Potts Point, NSW 2011, Australia

Based on the theory that recurrent neuroma formation can be prevented if the cut nerve end is implanted into the lumen of a vein, 14 patients have been treated by neuroma excision followed by proximal vein implantation over the last 5 years. Thirteen patients reported dramatic pain relief following surgery, and this was sustained in all but one case. Both failures were re-explored, when it was found that the nerve had pulled out of the vein, leading to recurrent neuroma formation. Both cases were revised successfully using the same technique. With a mean follow-up of 15 months, 11 patients remain symptom-free, whilst three have minor residual symptoms which are not severe enough to require further surgery.

Journal of Hand Surgery (British and European Volume), Vol. 23, No. 2, 220-224 (1998)
DOI: 10.1016/S0266-7681(98)80178-2
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